DEPARTMENT OF IMMIGRATION AND EMIGRATION
APPLICATION FOR VISIT VISA WITH MULTIPLE ENTRY FACILITY
Passport no
Place of issue
Day
Month
Year
Date of issue
Day
Month
Year
Date of expiry
Name in full
Nationality
Occupation
Civil status
Single
Married
Divorced
Duration
Years
Widowed
Address in the
country of domicile
Address in Sri Lanka
Date of last visit to Sri Lanka, If any
Date of expiry of visalanding
/endorsement
Year
Day
Month
Months
Year
Extension of visa required for
Details of visa granted with purpose of visit.
Reasons why a visit visa with multiple entry facility is required (Please give reasons in brief)
Please give details of documents annexed in support of the application.
1
2
3
4
5
6
7
8
Months
I , ................................................................................. with permanent residence in ................................................
...........................................................do hereby declare that the particulars given above are correct in all respects, and that
I have not made an application for a Residence Visa earlier.
Date :
.........................................................
Signature of applicant